Stop Loss Analyst - Self - insured Healthcare

Diedre Moire Corporation  •  Boston, MA

Less than 5 years experience  •  Business Services

$80K - $110K
Posted on 03/07/18 by Mason Ingling
Diedre Moire Corporation
Boston, MA
Less than 5 years experience
Business Services
$80K - $110K
Posted on 03/07/18 Mason Ingling

Seeking professional with stop loss claimsexperience and knowledge of self-funded insurance and TPA or Agency administration to coordinate tracking, monitoring, documenting, and submission of stop loss claims.

 

Duties:

 

*** Submit all filings and documentation to appropriate carriers to substantiate proof of loss and obtain reimbursement for the client or advance funding.

 

*** Provide timely follow ups for additional information needed by carrier or for appeals.

 

*** Identify members who have reached and exceeded their specific deductibles for filing purposes and track on Reinsurance Tracking Report.

 

*** Track all reimbursement from carrier on Reinsurance Tracking Report.

 

*** Ensure timely routing of reimbursements back to the client.

 

*** Maintain a knowledge base of key policy requirements related to each carrier.

 

*** Maintain comprehensive understanding of plan documents under scope of responsibility and underlying stop loss contracts and terms.

 

*** Assist with marketing stop loss renewals and new business, and spreadsheet renewal and new business quotes.

 

Join a leading insurance provider offering a competitive compensation package, tuition reimbursement, full medical benefits, life and disability insurance, 401(k) retirement plans, paid vacation, and extensive professional growth opportunities.

 

 

Please reference #37706113 when responding.Education Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: BostonJob State Location: MAJob Country Location: USA

WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring.

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